Problems in the prediction of complications at abdominal delivery


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Abstract

The expediency and informative value of using the indices of neuroautonomic adaptation (NAA) to predict complications after cesarean section were determined, by examining 95 pregnant women who gave birth to a baby via cesarean section. Adaptation break and overstrain were revealed in 54.7% of the pregnant women before cesarean section, which enabled them to be referred to as a high complication risk group. A higher significance of prediction was found from the autonomic homeostatic parameters. The risk unwarrantedly increased in 29% of the pregnant women with high compensatory-adaptive capacities. It is suggested that it is more expedient to assess the risk before surgical delivery, by keeping in mind the time course of autonomic homeostatic changes.

About the authors

I N Korotkikh

N. N. Burdenko Voronezh State Medical Academy, Russian Agency for Health Care

N. N. Burdenko Voronezh State Medical Academy, Russian Agency for Health Care

E V Khodasevich

N. N. Burdenko Voronezh State Medical Academy, Russian Agency for Health Care

Email: canc@vsma.ac.ru
N. N. Burdenko Voronezh State Medical Academy, Russian Agency for Health Care

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